Current concepts review: Revision rotator cuff repair

Michael S. George, Michael S Khazzam

Research output: Contribution to journalReview article

27 Scopus citations

Abstract

Failed rotator cuff repair may be caused by surgical complications, diagnostic errors, technical errors, failure to heal, and traumatic failure. Revision rotator cuff repair is made technically more difficult by poor tissue quality, tissue adhesions, and retained suture and suture anchor material. Historically, open revision rotator cuff repair yields inferior results compared with primary rotator cuff repair; however, more recent studies show 52% to 69% satisfactory results in small-sized or medium-sized tears. Arthroscopic revision rotator cuff repair yields greater than 60% good or excellent results. Poor tissue quality, detachment of the deltoid origin, and multiple previous surgeries are risk factors for poor results in revision rotator cuff repair. Level of evidence: Review Article.

Original languageEnglish (US)
Pages (from-to)431-440
Number of pages10
JournalJournal of Shoulder and Elbow Surgery
Volume21
Issue number4
DOIs
StatePublished - Apr 1 2012

Keywords

  • Arthroscopic rotator cuff repair
  • Causes of rotator cuff failure
  • Failed rotator cuff
  • Revision rotator cuff repair
  • Revision shoulder
  • Rotator cuff re-tear
  • Rotator cuff repair
  • Rotator cuff tear

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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